NPI | 1003373101 |
---|---|
Former Name | CARLA E MCGUIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L7861) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI LCSW-4328) |
Enumeration Date | 2019-02-25 |
Last Update Date | 2019-02-25 |